Jerry J Long Dds Pa
Orthodontics and Dentofacial Clinic
240 Caldwell Dr, Hazlehurst
Mississippi, 39083-2723
601-894-4732 601-894-4732
Maps & DirectionsJerry J Long Dds Pa is a Orthodontics and Dentofacial Clinic in Hazlehurst, Mississippi. It is located at 240 Caldwell Dr, Hazlehurst, MS and its contact number is 601-894-4732. The authorized person for Jerry J Long Dds Pa is Dr. Jerry J Long
who is President of the clinic and their contact number is 601-894-4732. Other organizations associated with this clinic are Jerry J Long Dds Pa, Gamblin Orthodontics Pllc, The primary license number for Jerry J Long Dds Pa is 925-59 (Orthodontics and Dentofacial Orthopedics) in Mississippi.
Jerry J Long Dds Pa Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Jerry J Long Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jerry J Long Dds Pa |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 240 Caldwell Dr, Hazlehurst,
Mississippi, 39083-2723 |
| Phone: | 601-894-4732 |
| Fax: | 601-894-4732 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Jerry J Long |
| Position: | President |
| Contact Number: | 601-894-4732 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jerry J Long Dds Pa clinic are as mentioned below.
| NPI Number: | 1568784882 |
| NPI Enumeration Date: | 01 Mar, 2010 |
| NPI Last Update On: | 01 Mar, 2010 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Jerry J Long Dds Pa | Orthodontics and Dentofacial Orthopedics | 1568784882 |
| Gamblin Orthodontics Pllc | Orthodontics and Dentofacial Orthopedics | 1649586520 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerry J Long Dds Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | 925-59 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 09015478 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jerry J Long Dds Pa
Po Box 587,
Hazlehurst, Mississippi |
| Zip: | 39083-0587 |
| Phone Number: | 601-894-4732 |
| Fax Number: | 607-894-4732 |
Patients can reach Jerry J Long Dds Pa at
240 Caldwell Dr, Hazlehurst, Mississippi or can
call to book an appointment on 601-894-4732.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.